Dexamethasone

Generic Name
Dexamethasone
Brand Names
Baycadron, Ciprodex, Decadron, Dexamethasone Intensol, Dextenza, Dioptrol, Hexadrol, Hidex 6-day Taper, Maxidex, Maxitrol, Neofordex, Ozurdex, Taperdex 12 Day Taper, Taperdex 6 Day Taper, Taperdex 7-day Taper, Tobradex, Zcort 7 Day Taper
Drug Type
Small Molecule
Chemical Formula
C22H29FO5
CAS Number
50-02-2
Unique Ingredient Identifier
7S5I7G3JQL
Background

Dexamethasone, or MK-125, is a corticosteroid fluorinated at position 9 used to treat endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions. Developed in 1957, it is structurally similar to other corticosteroids like hydrocortisone and prednisolone.

Dexamethasone was granted FDA approval on 30 October 1958. In a press release for the Randomized Evaluation of COVID-19 Therapy (RECOVERY) trial on 16 June 2020, dexamethasone was recommended for use in COVID-19 patients with severe respiratory symptoms. Dexamethasone reduced deaths by approximately one third in patients requiring ventilation and by one fifth in those requiring oxygen.

Indication

Dexamethasone and ciprofloxacin otic suspension is indicated for bacterial infections with inflammation in acute otitis media and acute otitis externa. Intramuscular and intravenous injections are indicated for a number of endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions. Oral tablets are indicated for the treatment of multiple myeloma. An intravitreal implant is indicated for some forms of macular edema and non-infectious posterior uveitis affecting the posterior of the eye. Various ophthalmic formulations are indicated for inflammatory conditions of the eye.

Associated Conditions
Acute Gouty Arthritis, Acute Leukemia, Acute Otitis Externa, Acute Otitis Media (AOM), Adrenocortical Hyperfunction, Adrenocortical Insufficiency, Allergic Conjunctivitis (AC), Alopecia Areata (AA), Ankylosing Spondylitis (AS), Aspiration Pneumonitis, Asthma, Atopic Dermatitis, Berylliosis, Bullous dermatitis herpetiformis, Bursitis, Chorioretinitis, Choroiditis, Congenital Adrenal Hyperplasia (CAH), Congenital Hypoplastic Anemia, Conjunctivitis, Contact Dermatitis, Cushing's Syndrome, Dermatitis, Diabetic Macular Edema (DME), Discoid Lupus Erythematosus (DLE), Drug hypersensitivity reaction, Edema of the cerebrum, Epicondylitis, Episcleritis, Erythroblastopenia, Eye Infections, Eye allergy, Glaucoma, Hypercalcemia, Immune Thrombocytopenia (ITP), Infection, Inflammation, Inflammation of the External Auditory Canal, Intraocular Inflammation, Iridocyclitis, Iritis, Keloids Scars, Keratitis, Lichen Planus (LP), Lichen simplex chronicus, Loeffler's syndrome, Lymphoma, Macular Edema, Meningitis caused by Mycobacterium Tuberculosis, Middle ear inflammation, Mucosal Inflammation of the eye, Multiple Myeloma (MM), Muscle Inflammation caused by Cataract Surgery of the eye, Mycosis Fungoides (MF), Necrobiosis lipoidica diabeticorum, Non-infectious Posterior Uveitis, Ocular Infections, Irritations and Inflammations, Ocular Inflammation, Ocular Inflammation and Pain, Ocular Irritation, Ocular Itching, Ophthalmia, Sympathetic, Optic Neuritis, Otitis Externa, Pemphigus, Perennial Allergic Rhinitis (PAR), Phlyctenular keratoconjunctivitis, Postoperative Infections of the eyes caused by susceptible bacteria, Posttraumatic Osteoarthritis, Regional Enteritis, Rheumatoid Arthritis, Rheumatoid Arthritis, Juvenile, Rosacea, Sarcoidosis, Scleritis, Seasonal Allergic Rhinitis, Secondary thrombocytopenia, Serum Sickness, Severe Seborrheic Dermatitis, Stevens-Johnson Syndrome, Synovitis, Systemic Lupus Erythematosus, Tenosynovitis, Trichinosis, Tuberculosis (TB), Ulcerative Colitis, Uveitis, Vernal Keratoconjunctivitis, Acquired immune hemolytic anemia, Acute rheumatic carditis, Anterior eye segment inflammation, Corticosteroid-responsive dermatoses, Ear infection-not otherwise specified caused by susceptible bacteria, Exfoliative erythroderma, Granuloma annulare lesions, Non-suppurative Thyroiditis, Ocular bacterial infections, Severe Psoriasis, Steroid-responsive inflammation of the eye, Swelling of the eyes, Varicella-zoster virus acute retinal necrosis, Watery itchy eyes
Associated Therapies
-

Dexamethasone Study: Impact on Quality of Life of Continuing Dexamethasone Following Emetogenic Chemotherapy

Phase 3
Completed
Conditions
Interventions
First Posted Date
2005-09-09
Last Posted Date
2012-06-28
Lead Sponsor
University Health Network, Toronto
Target Recruit Count
86
Registration Number
NCT00152867
Locations
🇨🇦

Mount SinaiHospital, Toronto, Ontario, Canada

🇨🇦

Princess Margaret Hospital, Toronto, Ontario, Canada

Dexamethasone Versus Methylprednisolone for the Treatment of Active Inflammatory Bowel Disease

Not Applicable
Terminated
Conditions
First Posted Date
2005-09-09
Last Posted Date
2013-09-05
Lead Sponsor
University of Chicago
Target Recruit Count
40
Registration Number
NCT00152620
Locations
🇺🇸

University of Chicago Comer Children's Hospital, Chicago, Illinois, United States

Specific Effects of Escitalopram on Neuroendocrine Response

Completed
Conditions
First Posted Date
2005-09-08
Last Posted Date
2009-02-05
Lead Sponsor
Queen's University
Target Recruit Count
8
Registration Number
NCT00150527
Locations
🇨🇦

Providence Centre, Mental Health Services, Kingston, Ontario, Canada

Safety Study of the Proteasome Inhibitor PR-171 (Carfilzomib for Injection) in Patients With Hematological Malignancies

First Posted Date
2005-09-08
Last Posted Date
2017-05-02
Lead Sponsor
Amgen
Target Recruit Count
48
Registration Number
NCT00150462
Locations
🇺🇸

Memorial Sloan Kettering Cancer Center, New York, New York, United States

🇺🇸

H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, United States

🇺🇸

Tower Cancer Research Foundation, Beverly Hills, California, United States

and more 2 locations

Phase II Study of Velcade, Decadron, and Doxil Followed by Cyclophosphamide in Multiple Myeloma

First Posted Date
2005-09-07
Last Posted Date
2017-07-18
Lead Sponsor
Weill Medical College of Cornell University
Target Recruit Count
38
Registration Number
NCT00148317
Locations
🇺🇸

Weill Medical College of Cornell University, New York, New York, United States

Study of Bortezomib (Velcade) in Combination With Dexamethasone to Treat Patients With Relapsed Hodgkin's Lymphoma

Phase 2
Terminated
Conditions
First Posted Date
2005-09-07
Last Posted Date
2008-07-10
Lead Sponsor
University of Cologne
Target Recruit Count
37
Registration Number
NCT00148018
Locations
🇩🇪

University of Cologne, Cologne, NRW, Germany

Liposomal Vincristine Plus Dexamethasone in Patients With Relapsed or Refractory Acute Lymphoblastic Leukemia

First Posted Date
2005-09-05
Last Posted Date
2019-12-12
Lead Sponsor
Acrotech Biopharma Inc.
Target Recruit Count
36
Registration Number
NCT00144963
Locations
🇺🇸

Emory University, Atlanta, Georgia, United States

🇺🇸

University of Chicago Medical Center, Chicago, Illinois, United States

🇺🇸

University of Texas M.D. Anderson Cancer Center, Houston, Texas, United States

R-ICE Versus R-DHAP in Patients Aged 18-65 With Relapse Diffuse Large B-cell Lymphoma

First Posted Date
2005-08-30
Last Posted Date
2019-08-28
Lead Sponsor
Lymphoma Study Association
Target Recruit Count
481
Registration Number
NCT00137995
Locations
🇮🇱

Israel Society of Hematology, Tel-Hashomer, Israel

🇨🇭

Schweirische Arbeitsgruppe fur klinische Krebsforschung, Lausanne, Switzerland

🇫🇮

Hospital district of south west Finland, Turku, Finland

and more 7 locations

A Study in Adults With Untreated Acute Lymphoblastic Leukemia

First Posted Date
2005-08-29
Last Posted Date
2024-04-17
Lead Sponsor
Dana-Farber Cancer Institute
Target Recruit Count
100
Registration Number
NCT00136435
Locations
🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

🇨🇦

Manitoba Blood & Marrow Transplant Program CancerCare Manitoba, Winnipeg, Manitoba, Canada

and more 9 locations

Study of Combination Therapy With VELCADE, Doxil, and Dexamethasone (VDd) in Multiple Myeloma

Not Applicable
Completed
Conditions
First Posted Date
2005-08-25
Last Posted Date
2012-02-07
Lead Sponsor
University of Michigan Rogel Cancer Center
Target Recruit Count
30
Registration Number
NCT00135187
Locations
🇺🇸

University of Michigan Cancer Center, Ann Arbor, Michigan, United States

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